| NPI | 1851668123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI AHMAD Manager 313-624-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |